Isaacson, Wayne
Isaacson, Wayne is an individual health care provider with primary practice located at 12900 Terabella Way , Fort Myers FL 33912-0915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Isaacson, Wayne can be contacted via phone (239) 940-6463.Contact Information
Primary practice address
12900 Terabella Way
Fort Myers FL 33912-0915
Phone: (239) 940-6463
Fax: (239) 494-8283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME71098 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME71098 | Florida |
Profile Details
| NPI number | 1215928189 |
|---|---|
| LBN Legal business name | Isaacson, Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 18th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215928189 | NPPES |
| Florida | MEDICAID | 253173900 | |
| Florida | Other | 32138 |
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